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子宫内膜息肉(endometrial polyps,EPs)是常见的子宫内膜病变之一。其发病机制尚不明确,目前认为EPs是激素依赖性疾病,且有一定的恶变率。随着宫腔镜技术的应用,其检出率增高。绝经及不规则阴道出血可增加子宫内膜息肉的恶变率。目前EPs以手术治疗为主,但治疗后容易复发。因此,治疗时应结合是否有复发及恶变的高危因素,选择适当的手术方法和预防措施。对EPs及其恶变、治疗及预防之间的关系进行综述。
Endometrial polyps (endometrial polyps, EPs) is one of the common endometrial lesions. The pathogenesis is not yet clear, at present that EPs is a hormone-dependent disease, and has a certain rate of malignancy. With the application of hysteroscopy, the detection rate increased. Menopausal and irregular vaginal bleeding can increase the rate of malignancy of endometrial polyps. The current EPs to surgical treatment, but relapse after treatment. Therefore, the treatment should be combined with whether there is recurrence and malignant transformation of the risk factors, select the appropriate surgical methods and preventive measures. The relationship between EPs and its malignant transformation, treatment and prevention are summarized.